ALI NOVIN (MD) – Physical Medicine & Rehabilitation Physician, NPI 1124674635
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
306 PHYSICAL MEDICINE AND REHABILITATION in MN
Provider Addresses for ALI NOVIN (MD)
909 Fulton St SE
Minneapolis, MN 554554800
Phone: (612) 627-7422
Type: Location
200, Harbord Street, Markham, York Region, Golden Horseshoe, Ontario, L6C 0A2, Canada
MARKHAM, ONTARIO L6C 0X3
Phone:
Type: Mailing
Mercy Medical Center, 801, 5th Street, Sioux City, Woodbury County, Iowa, 51101, United States
SIOUX CITY, IA 511011326
Phone: (712) 279-2576
Type: Location
PO BOX 5074
SIOUX FALLS, SD 571175074
Phone:
Type: Mailing
736 BROADWAY N
FARGO, ND 581024421
Phone: (701) 234-2000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231109001018 | I | Physical Medicine And Rehabilitation | MN | TBD |
| I20250826003443 | I | Physical Medicine And Rehabilitation | ND | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55455)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ND | |
| Nurse Practitioner | ND | |
| - | ND | |
| - | ND | |
| P S Y C H I A T R Y | ND | |
| - | PA | |
| N E P H R O L O G Y | SD | |
| U R O L O G Y | MI | |
| Nurse Practitioner | ND | |
| H O S P I T A L I S T | ND |
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